Department of Surgery, Mayo Clinic Health System Northwest Wisconsin, Eau Claire WI.
Department of Surgery, Mayo Clinic Health System Northwest Wisconsin, Eau Claire WI.
Ann Vasc Surg. 2021 Aug;75:533.e7-533.e10. doi: 10.1016/j.avsg.2021.03.054. Epub 2021 May 2.
Popliteal artery occlusion is mainly seen in elderly patients with late stage atherosclerotic occlusive disease. In young, nonsmoking patients, popliteal artery occlusion can be caused by a variety of other etiologies. The diagnosis is suspected clinically and confirmed with ultrasound, computed tomography angiogram (CTA) or angiography, which can also aid in understanding the underlying cause. We present a 40-year-old very active male, who developed progressive symptoms of claudication over a 4 months interval and was found to have a thrombosed popliteal artery secondary to external compression from a tibial osteochondroma. The patient was treated with in-situ saphenous vein bypass from the above knee popliteal artery to the anterior tibial artery. The bypass was widely patent at 24 months.
腘动脉闭塞主要见于晚期动脉粥样硬化闭塞性疾病的老年患者。在年轻、不吸烟的患者中，腘动脉闭塞可能由多种其他病因引起。临床怀疑诊断，并通过超声、计算机断层血管造影（CTA）或血管造影进行确诊，后者还可以帮助了解潜在病因。我们报告了一位 40 岁非常活跃的男性，他在 4 个月的时间内逐渐出现跛行症状，发现由于胫骨骨软骨瘤的外部压迫，腘动脉发生血栓形成。患者接受了自膝上腘动脉至胫前动脉的原位大隐静脉旁路移植术。旁路在 24 个月时保持广泛通畅。
